Anterior inferior tibiofibular ligament augmentation for syndesmosis injury: A cadaveric study

2017 ◽  
Vol 23 ◽  
pp. 85-86
Author(s):  
H. Shoji ◽  
A. Teramoto ◽  
D. Suzuki ◽  
Y. Okada ◽  
Y. Sakakibara ◽  
...  
Keyword(s):  
Cadaveric Study ◽  
Tibiofibular Ligament ◽  
Syndesmosis Injury ◽  
Ligament Augmentation ◽  
Anterior Inferior Tibiofibular Ligament

The anterior inferior tibiofibular ligament and talar impingement: a cadaveric study

2002 ◽  
Vol 10 (5) ◽  
pp. 321-326 ◽  
Author(s):  
Devrim Akseki ◽  
Halit Pinar ◽  
Kadir Yaldiz ◽  
Nazli Akseki ◽  
Candan Arman
Keyword(s):  
Cadaveric Study ◽  
Tibiofibular Ligament ◽  
Anterior Inferior Tibiofibular Ligament

scholarly journals Prevalence of syndesmosis injuries associated with acute ligamentous injuries on magnetic resonance imaging

2018 ◽  
Vol 12 (4) ◽  
pp. 271-75
Author(s):  
Marcio Pinheiro De Souza ◽  
Marcos Vinicius Mota Garcia Moreno ◽  
Janice De Souza Guimarães ◽  
Marilton Jorge Torres Gomes ◽  
Túlio Eduardo Marçal Vieira ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lateral Ligament ◽  
Resonance Imaging ◽  
Ligament Injuries ◽  
Level Of Evidence ◽  
Tibiofibular Ligament ◽  
Syndesmosis Injury ◽  
Anterior Inferior Tibiofibular Ligament ◽  
Mri Scans

Objective: The aim of this study was to evaluate the prevalence of inferior tibiofibular syndesmosis injuries in patients with acute lateral ligament injuries found on complementary nuclear magnetic resonance imaging (MRI) performed in a diagnostic imaging clinic. Methods: The images and medical reports of 429 ankle MRI examinations were evaluated from March to December 2017. After applying the exclusion criteria, 346 examinations were eliminated. Thus, a total of 93 MRI scans compatible with acute ankle ligament injuries were examined for associated syndesmosis injury. Results: The presence of syndesmosis injury was observed in 8 patients (8.6%). In all individuals with syndesmosis injuries, the anterior fibulotalar ligament (AFTL) and the anterior inferior tibiofibular ligament (AITFL) were affected. The most common lesion in this type of injury was partial AFTL lesion (6 cases), followed by partial AITFL lesion (5 cases). Of the 93 MRI results evaluated, the lateral complex ligament most commonly affected was the AFTL, with 91 lesions, partial and total, which were present in 97.85% of the MRI examinations. Partial AFTL lesions were observed in 49 patients (52.68%), representing the most common lesion, and total AFTL lesions were observed in 42 patients (45.16%). Conclusion: No increase was found in the prevalence of syndesmosis injuries associated with acute ligamentous injuries evaluated by MRI. Level of Evidence III; Diagnostic Studies; Study of Non Consecutive Patients.

scholarly journals Reduction and fixation of anterior inferior tibiofibular ligament avulsion fracture without syndesmotic screw fixation in rotational ankle fracture

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051988255
Author(s):  
Kee Jeong Bae ◽  
Seung-Baik Kang ◽  
Jihyeung Kim ◽  
Jaewoo Lee ◽  
Tae Won Go
Keyword(s):  
Fracture Fixation ◽  
Ankle Fracture ◽  
Avulsion Fracture ◽  
Screw Fixation ◽  
Malleolar Fracture ◽  
Tibiofibular Ligament ◽  
Radiographic Parameters ◽  
Syndesmotic Screw ◽  
Anterior Inferior Tibiofibular Ligament ◽  
American Orthopaedic

Objective We aimed to present the radiographic and functional outcomes of anatomical reduction and fixation of anterior inferior tibiofibular ligament (AITFL) avulsion fracture without syndesmotic screw fixation in rotational ankle fracture. Methods We retrospectively reviewed 66 consecutive patients with displaced malleolar fracture combined with AITFL avulsion fracture. We performed reduction and fixation for the AITFL avulsion fracture when syndesmotic instability was present after malleolar fracture fixation. A syndesmotic screw was inserted only when residual syndesmotic instability was present even after AITFL avulsion fracture fixation. The radiographic parameters were compared with those of the contralateral uninjured ankles. The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores were assessed 1 year postoperatively. Results Fifty-four patients showed syndesmotic instability after malleolar fracture fixation and underwent reduction and fixation for AITFL avulsion fracture. Among them, 45 (83.3%) patients achieved syndesmotic stability, while 9 (16.7%) patients with residual syndesmotic instability needed additional syndesmotic screw fixation. The postoperative radiographic parameters were not significantly different from those of the uninjured ankles. The mean AOFAS score was 94. Conclusion Reduction and fixation of AITFL avulsion fracture obviated the need for syndesmotic screw fixation in more than 80% of patients with AITFL avulsion fracture and syndesmotic instability.

MRI appearance of surgically proven abnormal accessory anterior–inferior tibiofibular ligament (Bassett’s ligament)

2007 ◽  
Vol 37 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Naveen Subhas ◽  
Emily N. Vinson ◽  
R. Lee Cothran ◽  
James R. Santangelo ◽  
James A. Nunley ◽  
...  
Keyword(s):  
Tibiofibular Ligament ◽  
Anterior Inferior Tibiofibular Ligament

scholarly journals Effect of a Controlled Ankle Motion Walking Boot on Syndesmotic Instability During Weightbearing: A Cadaveric Study

2019 ◽  
Vol 7 (8) ◽  
pp. 232596711986401 ◽  
Author(s):  
Stéphanie Lamer ◽  
Jonah Hébert-Davies ◽  
Vincent Dubé ◽  
Stéphane Leduc ◽  
Émilie Sandman ◽  
...  
Keyword(s):  
External Rotation ◽  
Axial Loading ◽  
Interosseous Ligament ◽  
Ankle Motion ◽  
Paired Samples ◽  
Tibiofibular Ligament ◽  
Custom Made ◽  
Anterior Inferior Tibiofibular Ligament ◽  
Careful Management

Background: Syndesmotic injuries can lead to long-term complications; hence, they require careful management. Conservative treatment is adequate when 1 syndesmotic ligament is injured, but surgery is often necessary to achieve articular congruity when 3 syndesmotic ligaments are ruptured. However, there is some controversy over the best treatment for 2-ligament injuries. Purpose: To evaluate the effect of a controlled ankle motion (CAM) walking boot on syndesmotic instability following iatrogenic isolated anterior inferior tibiofibular ligament (AiTFL) injury and combined AiTFL/interosseous ligament (IOL) injuries in a cadaveric simulated weightbearing model. Study Design: Controlled laboratory study. Methods: Ten cadaveric specimens were dissected to expose the tibial plateau and syndesmosis. The specimens were fitted to a custom-made device, and a reproducible axial load of 750 N was applied. Iatrogenic rupture of the syndesmotic ligaments (AiTFL + IOL) was done sequentially. Uninjured syndesmoses, isolated AiTFL rupture, and combined AiTFL/IOL rupture were compared with and without axial loading (AL) and CAM boot. The distal tibiofibular relationship was evaluated using a previously validated computed tomography scan measurement system. Wilcoxon tests for paired samples and nonparametric data were used. Results: The only difference noted in the distal tibiofibular relationship during AL was an increase in the external rotation of the fibula when using the CAM boot. This was observed with AiTFL rupture (8.40° vs 11.17°; P = .009) and combined AiTFL/IOL rupture (8.81° vs 11.97°; P = .005). Conclusion: AL did not cause a significant displacement between the tibia and fibula, even when 2 ligaments were ruptured. However, the CAM boot produced a significant external rotation with 1 or 2 injured ligaments. Clinical Relevance: Further studies are needed to assess the capacity of the CAM walking boot to prevent malreduction when external rotation forces are applied to the ankle. Moreover, special care should be taken during the fitting of the CAM boot to avoid overinflation of the cushions.

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